Organization
PLATTE VALLEY ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FOOTE (PARTNER)
(308) 633-1760
Entity
Organization
Contact information
Practice address
416 VALLEY VIEW DRIVE, SUITE 800, SCOTTSBLUFF, NC 69361-1420
(308) 633-1760
(308) 633-1762
Mailing address
416 VALLEY VIEW DRIVE, SUITE 800, SCOTTSBLUFF, NC 69361-1420
(308) 633-1760
(308) 633-1762
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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